Research and News
Posts tagged proprioception
Stable vs. Unstable: Using Exercise Balls with the Overhead Press Exercise
Apr 29th
“Functional Training” has become increasingly popular in both rehabilitation and fitness. “Core training” has often been considered a component of functional training because of the transfer of force through the trunk to the extremities. Unstable surfaces such as Thera-Band® Exercise Balls and Stability Trainers are often used with traditional exercise movements to integrate training of the trunk and extremities.
Canadian researchers Anderson and Behm have shown that instability training can provide similar muscle activation levels at lower resistance levels compared to training on stable surfaces. Unfortunately, however, unstable surface training also results in a decrease force output of prime movers. California State University researchers set out to evaluate the electromyographic (EMG) activity of prime movers and core stabilizers during a seated overhead press exercise. 30 healthy, resistance-trained subjects performed an overhead press with dumbbells and barbells while sitting on a stable surface and on an exercise ball. The investigators were interested in looking for differences in EMG levels between the stable load (barbell) and unstable load (dumbbell), on both stable (bench) and unstable surfaces (exercise ball). Subjects used a 10RM resistance (maximum amount of weight lifted for 10 repetitions) for each of the 4 conditions; thus, each condition had a slightly different absolute load.
As expected, More >
Researchers encourage proprioceptive exercises for shoulder rehabilitation
Apr 27th
Proprioceptive exercises are commonly prescribed for lower extremity rehabilitation. More recently, sensorimotor (SMT) proprioceptive exercises have been used for shoulder rehabilitation. It’s thought that shoulder injury (in particular, shoulder instability) is related to proprioceptive deficits. Researchers speculate that deafferentation (loss of sensory information) from the mechanoreceptors of the shoulder joint capsule and altered proprioceptive information create these sensorimotor deficits (Lephart et al. 1997; Tibone et al. 1997)
A review paper in Athletic Training and Sports Healthcare discussed the adaptations of the sensorimotor system following shoulder rehabilitation. The authors used the PEDro system for inclusion criteria to review 23 articles. The most common techniques the paper reviewed included:
- Joint repositioning
- Closed-kinetic chain exercises
- Proprioceptive Neuromuscular Facilitation (PNF)
- Plyometrics
- Joint Perturbations
- Activation of muscle through elastic tubing, free weights or oscillation
The authors concluded that sensorimotor rehabilitation after shoulder injury is crucial, and that the sensorimotor system is, in fact, trainable. A proprioceptive and sensorimotor training program including Thera-Band® elastic bands and tubing, FlexBar® Oscillation, and closed-kinetic shoulder exercises with Stability Trainers should be included as part of a shoulder rehabilitation or prevention program.
Reference: Myers JB, and Oyama S. 2009. Sensorimotor training for shoulder injury. Athletic Training & Sports Health Care. 1(5):199-208.
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Balance training program effective for basketball players
Apr 15th
Several studies have shown that balance exercises and “neuromuscular training” are effective at reducing injuries in athletes. Neuromuscular exercises typically incorporate products such as Thera-Band® Stability Trainers, Stability Discs, balance boards, and exercise balls. Athletic training researchers wanted to determine if a neuromuscular training program was effective at improving balance in high school athletes.
Two groups of female basketball players were assigned to either a 6-week neuromuscular exercise program or a control group (the subjects weren’t randomized; they were assigned to a group based on their school). Athletes were tested for their static balance and dynamic balance; the static balance test (BESS) used foam pads to create an unstable surface to evaluate postural stability.
The exercise group completed a twice a week, 6-week program that included 4 training stations: functional strengthening, plyometrics, agility training, and balance training. Each session lasted about 1.5 hours. The functional training station utilized elastic band loops and exercise balls, and the balance station utilized foam rolls.
After analysis of the 50 athletes completing the study, the authors found significant improvements in both static and dynamic balance. While these results may sound intuitive, other studies have shown no increase in balance with more simple balance exercises, possibly due to a More >
Systematic review suggests how to improve balance with specific balance exercises
Apr 13th
Balance training for rehabilitation and sports performance enhancement has increased in popularity over the past few years, yet there remains little evidence on the optimal exercise dosage and prescription for balance training. Poor balance has been associated with falls in older adults, as well as injuries in other populations. Balance training has been shown in numerous studies to improve balance, reduce falls, and reduce injuries. Unfortunately, there is little consensus on the optimal dosage of balance training in terms of volume and intensity.
A systematic review in the Journal of Strength and Conditioning Research provided a systematic review of balance training in healthy individuals. Using the PEDro scale for analyzing studies, the authors evaluated the quality and effect sizes of 16 articles involving healthy individuals. 2 types of balance training for postural stability were identified: static and dynamic balance. Static balance is defined as the ability to maintain the center of gravity within the base of support. Dynamic balance is defined as the transition from dynamic activity to a static position. The authors also identified 2 types of surfaces used in balance assessment to quantify postural stability. Stable surface assessments utilize force platforms or single-leg balance time, while unstable surface assessments utilize tilting platforms.
The More >
Training program improves throwing accuracy in baseball players
Mar 31st
Core training is thought to be important to improve functional sport activities, particularly those involving force transfer through the abdominals and back, into the extremities. For example, much of the strength and power required to throw a baseball comes from the force transmitted through the core from the legs. This is an example of the ‘kinetic chain,” where different parts of the body are interconnected and all contribute in some way to performing a functional activity.
Few studies have investigated the effects of core training on functional performance. Athletic training researchers investigated the effects of a shoulder training program with and without core stability exercises. 19 baseball players were randomly assigned to an open and closed-chain exercise program, or the same program with additional core training. 15 healthy age-matched non athletes were used as a quasi-control group. Each subject was tested for throwing accuracy, core stability, and proprioception before and after the 6-week program.
Both groups performed a shoulder training program that included free weights, closed-chain balance board, step-up, and exercise ball exercises, as well as plyometric ball tosses. The core training group also performed stabilization exercises such as the dead bug, sit-up, bridge, wall slides, and sitting on an exercise ball.
After the training program, More >
